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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2003, Number 6

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Rev Mex Oftalmol 2003; 77 (6)

Estudio comparativo entre erbium-YAG láser y ultrasonido en cirugía de catarata

Morales-Gómez ME, López-Gómez E, Garzón M, Nasser-Nasser L, Chávez-Mondragón E, Cruz-Hernández A
Full text How to cite this article

Language: Spanish
References: 12
Page: 205-208
PDF size: 80.15 Kb.


Key words:

Erbium Yag-laser, ultrasound, cataract.

ABSTRACT

Purpose: To compare erbium-Yag laser and ultrasound in cataract surgery.
Methods: Twenty-four eyes included in two groups were studied: Group one operated with ultrasound and group two with erbium Yag-laser. The trial was realized from December 1999 to April 2000. Type of cataract was nuclear sclerosis (0ne-four) and the mean age was of 56.8 years. A complete preoperative evaluation was performed including endothelial cells count on day 1,7,14,21 and fifth month.
Surgical procedure in both groups was performed with peribulbar anesthesia and phacoemulsification.
Nucleus management and IOL type varied.
Results: In group one the mean time of ultrasound was 3.0 minutes with 30 to 40% of ultrasound power and in group two the mean frequency was 6.9 pulses per second and laser time 7.20 minutes. There were no statically difference between visual acuity, intraocular pressure and endothelial cells count.
Conclusion: We need to improve the Irrigation aspiration system in phacolaser as well as another nucleus technique for erbium yag-laser to have better results.


REFERENCES

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  2. Nanevicz TM, Prince MR, Gawande AA, Puliafito CA. Excimer laser ablation of the lens. Arch Ophthalmol, 1986; 104:1825–1829.

  3. Peyman G, Katoj N. Effects of an erbium: Yag laser in ocular structures. Int Ophthalmol, 1987; 10:245-253.

  4. Steinert RF, Puliafito CA. The Nd-YAG Laser in Ophtahlmology: Principles and Clinical Applications of Photodisruption. Philadelphia, WB Saunders, 1985; 22-35.

  5. Chambless WS. Neodymium: Yag laser phacofracture: An aid to phacoemulsification. J Cataract Refract Surg, 1988; 14:180–181.

  6. Fankhauser F, Roussel P, Steffer J y cols. Clinical studies on the efficiency of high power laser radiation upon some structures of the anterior segment of the eye: first experiences of the treatment of some pathological conditions of the anterior segment of the human eye by means of Q- switched laser system. Int Ophthalmol Clin, 1981; 3:129-139.

  7. Katoh N. Effects of an erbium: Yag laser on ocular structures. Int Ophtahlmol 1987; 10:245-253.

  8. Tsubota K. Application of Erbium: Yag laser in ocular ablation. Ophthalmologica 1990; 200:117-122.

  9. Dodick JM. Laser phacolysis of the hyman cataractous lens. Dev Ophthalmol 1991; 22:58-64.

  10. Puliafito CA. The ND-YAG laser in Ophthalmology: Principles and Clinical Applications of Photodisruption. Philadelphia, WB Saunders, 1985; 22-35.

  11. Levin ML, Wyatt KD. Prospective analysis of laser photophacofragmentacion. J. Cataract Refract Surg, 1990; 16:96-98.

  12. Hoh H, Ficher E. Erbium laser phacoemulsification a clinical pilot study. Klin Monastbi Augenheilkd, 1999; 214 (4):203-210.




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Rev Mex Oftalmol. 2003;77